Atraumatic (pencil-point) versus conventional needles for lumbar puncture: a clinical practice guideline

What you need to know Post-dural-puncture headache is a common complication after lumbar puncture, affecting up to 35% of patientsThis headache results from sustained leakage of cerebrospinal fluid from a dural tear; it can be debilitating and require return to hospital for narcotics or invasive the...

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Bibliographic Details
Published in:BMJ (Online) 2018-05, Vol.361, p.k1920-k1920
Main Authors: Rochwerg, Bram, Almenawer, Saleh A, Siemieniuk, Reed A C, Vandvik, Per Olav, Agoritsas, Thomas, Lytvyn, Lyubov, Alhazzani, Waleed, Archambault, Patrick, D’Aragon, Frederick, Farhoumand, Pauline Darbellay, Guyatt, Gordon, Laake, Jon Henrik, Beltrán-Arroyave, Claudia, McCredie, Victoria, Price, Amy, Chabot, Christian, Zervakis, Tracy, Badhiwala, Jetan, St-Onge, Maude, Szczeklik, Wojciech, Møller, Morten Hylander, Lamontagne, Francois
Format: Article
Language:English
Subjects:
Clinical decision making
Clinical practice guidelines
Cost-Benefit Analysis
Decision making
Diagnostic tests
Efficiency
Equipment Design - economics
Fluids
Headaches
Humans
Iatrogenesis
Needles
Needles - economics
Neurology
Patients
Post-Dural Puncture Headache - prevention & control
Practice
Spinal cord
Spinal Puncture - adverse effects
Spinal Puncture - instrumentation
Systematic review
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Summary:What you need to know Post-dural-puncture headache is a common complication after lumbar puncture, affecting up to 35% of patientsThis headache results from sustained leakage of cerebrospinal fluid from a dural tear; it can be debilitating and require return to hospital for narcotics or invasive therapyWe issue a strong recommendation for use of atraumatic needles in all patients (adults and children) undergoing lumbar puncture because they decrease complications and are no less likely to work than conventional needles
ISSN:0959-8138
1756-1833
DOI:10.1136/bmj.k1920